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目的探讨60岁以上人群体检的高尿酸血症检出率及其与血脂、血糖的相关性。方法选取佛山市南海区官窑医院2015年4月-2016年1月接受体检的60岁以上人群566例为研究对象,记录所有患者的高尿酸血症检出率,分别对高尿酸血症组与尿酸正常组的血糖、血脂水平进行检测,观察高尿酸血症与血脂、血糖的相关性。结果 566例60岁以上人群的高尿酸血症检出率为18.20%,男性检出率为23.45%,与女性的11.97%相比,差异有统计学意义(P<0.05);高尿酸血症组的血脂与血糖水平明显高于尿酸正常组,差异有统计学意义(P<0.05);高尿酸血症危险因素的多因素Logistic回归分析显示,男性、胆固醇偏高、三酰甘油偏高、低密度脂蛋白偏高、高密度脂蛋白偏低、空腹血糖偏高为高尿酸血症的危险因素。结论 60岁以上体检者的高尿酸血症检出率较高,男性检出率高于女性;男性、胆固醇偏高、三酰甘油偏高、低密度脂蛋白偏高、高密度脂蛋白偏低、空腹血糖偏高为高尿酸血症独立危险因素。
Objective To investigate the detection rate of hyperuricemia and its correlation with serum lipids and blood glucose in medical examination over 60 years of age. Methods Guanyao Hospital of Nanhai District, Foshan City, from April 2015 to January 2016, 566 patients over the age of 60 were enrolled in this study. The detection rate of hyperuricemia was recorded in all patients. The hyperuricemia group And uric acid normal group of blood glucose, blood lipid levels were measured to observe the hyperuricemia and blood lipids, blood glucose related. Results The detection rate of hyperuricemia was 18.20% in 566 patients over 60 years old, and the detection rate was 23.45% in males. Compared with 11.97% in females, the difference was statistically significant (P <0.05); hyperuricemia (P <0.05). Multivariate Logistic regression analysis of risk factors of hyperuricemia showed that male patients had high cholesterol, high triglyceride, high serum triglyceride, High-density lipoprotein, high-density lipoprotein low, high fasting blood glucose as a risk factor for hyperuricemia. Conclusions The detection rate of hyperuricemia is higher in the subjects over 60 years of age, and the detection rate is higher in males than in females. In men, high cholesterol, high triglyceride, high low density lipoprotein and low high density lipoprotein , Fasting hyperglycemia is an independent risk factor for hyperuricemia.